Reconstruction of lateral collateral ligament complex of the elbow using iliotibial tract graft simultaneously with free anterolateral thigh flap for extensive soft tissue defects of the lateral elbow
Soft-tissue defects around the elbow present challenges in reconstructive surgery. We report the case of a 26-year-old man with extensive lateral elbow soft tissue defects, irreparable lateral epicondyle and lateral collateral ligament complex (LCLC) damage, and radial head and forearm extensor musc...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | JPRAS Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587825000592 |
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| author | Shinsuke Takeda Ryutaro Shibata Koshiro Matsumoto Ryo Shinoda Hiroki Ito Hiroshi Takahashi Hideki Murakami |
| author_facet | Shinsuke Takeda Ryutaro Shibata Koshiro Matsumoto Ryo Shinoda Hiroki Ito Hiroshi Takahashi Hideki Murakami |
| author_sort | Shinsuke Takeda |
| collection | DOAJ |
| description | Soft-tissue defects around the elbow present challenges in reconstructive surgery. We report the case of a 26-year-old man with extensive lateral elbow soft tissue defects, irreparable lateral epicondyle and lateral collateral ligament complex (LCLC) damage, and radial head and forearm extensor muscle deficiencies. Treatment involved a free anterolateral thigh (ALT) flap for soft tissue and an iliotibial tract graft for LCLC reconstruction. Postoperative recovery showed favorable outcomes with functional restoration. This case highlights the efficacy of simultaneous LCLC and soft tissue reconstruction using a non-vascularized iliotibial tract graft along with an ALT flap in patients with extensive soft tissue defects requiring LCLC reconstruction around the elbow. |
| format | Article |
| id | doaj-art-25012c828ea345778cf7efb55dbb9914 |
| institution | OA Journals |
| issn | 2352-5878 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj-art-25012c828ea345778cf7efb55dbb99142025-08-20T01:53:30ZengElsevierJPRAS Open2352-58782025-06-014448749210.1016/j.jpra.2025.03.016Reconstruction of lateral collateral ligament complex of the elbow using iliotibial tract graft simultaneously with free anterolateral thigh flap for extensive soft tissue defects of the lateral elbowShinsuke Takeda0Ryutaro Shibata1Koshiro Matsumoto2Ryo Shinoda3Hiroki Ito4Hiroshi Takahashi5Hideki Murakami6Department of Orthopaedic Surgery, Nagoya Tokushukai General Hospital, Kasugai, Japan; Department of Orthopaedic Surgery, Nagoya City University Hospital, Nagoya, Japan; Corresponding author.Trauma Reconstruction Center, Shin-Yurigaoka General Hospital, Kawasaki, JapanDepartment of Orthopaedic Surgery, Kasugai Municipal Hospital, Kasugai, JapanDepartment of Orthopaedic Surgery, Nagoya Tokushukai General Hospital, Kasugai, JapanDepartment of Orthopaedic Surgery, Toyohashi Municipal Hospital, Toyohashi, JapanDepartment of Orthopaedic Surgery, Fukuoka Orthopaedic Hospital, Fukuoka, JapanDepartment of Orthopaedic Surgery, Nagoya City University Hospital, Nagoya, JapanSoft-tissue defects around the elbow present challenges in reconstructive surgery. We report the case of a 26-year-old man with extensive lateral elbow soft tissue defects, irreparable lateral epicondyle and lateral collateral ligament complex (LCLC) damage, and radial head and forearm extensor muscle deficiencies. Treatment involved a free anterolateral thigh (ALT) flap for soft tissue and an iliotibial tract graft for LCLC reconstruction. Postoperative recovery showed favorable outcomes with functional restoration. This case highlights the efficacy of simultaneous LCLC and soft tissue reconstruction using a non-vascularized iliotibial tract graft along with an ALT flap in patients with extensive soft tissue defects requiring LCLC reconstruction around the elbow.http://www.sciencedirect.com/science/article/pii/S2352587825000592Soft tissue defectsElbow reconstructionLateral collateral ligament complexAnterolateral thigh flapLigament reconstructionIliotibial tract |
| spellingShingle | Shinsuke Takeda Ryutaro Shibata Koshiro Matsumoto Ryo Shinoda Hiroki Ito Hiroshi Takahashi Hideki Murakami Reconstruction of lateral collateral ligament complex of the elbow using iliotibial tract graft simultaneously with free anterolateral thigh flap for extensive soft tissue defects of the lateral elbow JPRAS Open Soft tissue defects Elbow reconstruction Lateral collateral ligament complex Anterolateral thigh flap Ligament reconstruction Iliotibial tract |
| title | Reconstruction of lateral collateral ligament complex of the elbow using iliotibial tract graft simultaneously with free anterolateral thigh flap for extensive soft tissue defects of the lateral elbow |
| title_full | Reconstruction of lateral collateral ligament complex of the elbow using iliotibial tract graft simultaneously with free anterolateral thigh flap for extensive soft tissue defects of the lateral elbow |
| title_fullStr | Reconstruction of lateral collateral ligament complex of the elbow using iliotibial tract graft simultaneously with free anterolateral thigh flap for extensive soft tissue defects of the lateral elbow |
| title_full_unstemmed | Reconstruction of lateral collateral ligament complex of the elbow using iliotibial tract graft simultaneously with free anterolateral thigh flap for extensive soft tissue defects of the lateral elbow |
| title_short | Reconstruction of lateral collateral ligament complex of the elbow using iliotibial tract graft simultaneously with free anterolateral thigh flap for extensive soft tissue defects of the lateral elbow |
| title_sort | reconstruction of lateral collateral ligament complex of the elbow using iliotibial tract graft simultaneously with free anterolateral thigh flap for extensive soft tissue defects of the lateral elbow |
| topic | Soft tissue defects Elbow reconstruction Lateral collateral ligament complex Anterolateral thigh flap Ligament reconstruction Iliotibial tract |
| url | http://www.sciencedirect.com/science/article/pii/S2352587825000592 |
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